Evaluation of Conservative therapy in two groups of patients with low back pain associated with iliolumbar ligament enthesopathy and injury of muscles around hip in comparison with patients with other causes of low back pain

سال انتشار: 1400
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 194

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شناسه ملی سند علمی:

JR_JHHHM-2-1_005

تاریخ نمایه سازی: 1 تیر 1401

چکیده مقاله:

Background and objective: The most common problem in patients referred to orthopedic clinics is low back pain. Iliolumbar ligament enthesopathy is one of the causes of low back pain. In this study, we investigated the results of conservative therapy in two groups of patients with low back pain.Materials and methods: This cross-sectional descriptive study was performed on ۸۱۷ patients with back pain referred to our orthopedics clinic during ۲۰۱۳-۲۰۱۴. After diagnosis, patients were divided into two groups. Group A had pain with short external rotator muscles, iliolumbar ligament enthesopathy and gluteal muscle tenderness, and group B were presented with other causes of low back pain. After the end of the conservative therapy the Oswestry disability index were filled by subjects.Results and conclusion: Of total, ۳۰۳ patients (۳۷.۱%) were entered the group A and ۵۱۴ patients (۶۲.۹%) were considered as group B with other causes of back pain. Out of ۸۱۷ patients, ۲۵۱ were males and ۵۶۶ were females. The most common cause of pain was found to be discopathy with ۴۳۸ cases (۵۳.۵%). The mean score of the Oswestry pain severity questionnaire was not statistically significant between ۲ groups (P = ۰.۰۶۵) prior to the treatment. However, there was found a significant difference between the frequency distribution of the two groups according to the severity of the pain after the treatment (P = ۰.۰۰۰۱). In conclusion, the results of our study indicated that the degree of disability, paraclinical cost, diagnosis based on the correct clinical examination in patients could be different, and patients with injuries such as iliolumbar enthesopathy and injured short extensor muscles around the hip and gluteus responded well to conservative therapy.

کلیدواژه ها:

نویسندگان

Hossein Ettehad

Department of Orthopedics, School of Medicine, Orthopedic Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Amir Salari

Department of Orthopedics, School of Medicine, Orthopedic Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Mehran Soleymanha

Department of Orthopedics, School of Medicine, Orthopedic Research Center, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.

Kamran Ezzati

Department of Anatomy, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Dalaleh Khososi

Guilan University of Medical Sciences, Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran.